MRS. Carmen Michelle Clark

NPI #1124463450 in Crestwood, Kentucky

Provider Information

NPI Number
1124463450
Entity Type
Individual
Name
MRS. Carmen Michelle Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Apr 30, 2013
Last Updated
Apr 30, 2013

Practice Location

Address
7302 MEADOW RD
ZIP Code
40014-9453
Phone
(502) 241-5159

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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